Limb Lengthening Forum
Limb Lengthening Surgery => Limb Lengthening Doctors => Topic started by: Muse on October 02, 2013, 04:03:55 PM
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Here are the response from Dr Paley Limb Lengthening Institute, based in West Palm Beach, Florida.
1) How many patients have you operated for cosmetic Limb Lengthening so far and How many patients do you operate yearly?
Safety is my number one concern. All of my patients have ended up with normal function after this treatment. I do between 800-900 lengthening surgeries a year of which about 50 are for cosmetic.
2) What is the estimated total cost, including post-op treatments, stay, medications, physiotherapy? Are unscheduled surgeries covered and How much does a consultation cost?
The cost of surgery with physical therapy is $80,000 (Precice1) and $83,000 (Precice2) for bilateral femoral lengthening and $95,000 for bilateral tibial lengthening (Precice 1&2). For individuals who undergo femoral lengthening followed by tibial lengthening we offer a package price of $170,000 (Precice 1&2).
3) What kind of physical therapy is assigned to the patient?
Daily PT in our department for the entire distraction phase.
4) What maximum amount of lengthening do you recommend per segment, regarding patient safety? What is the daily rate of lengthening?
8cms femur and 6-7 cms tibia
1 mm daily femur and .75 tibias
5) What are your opinions regarding the weightbearing of the patients?
WB is allowed to the level of tolerance of the device to make sure it does not break.
6) How often will you follow up with patients during lengthening?
Every two weeks.
7) How fast can patients return to normal life (walking without support)? What is the time required to lengthen 5 cm and 7.5-8 cm ?
Femurs usually 4 months walking 5 months running and six months sports. The distraction phase length for femur lengthening is one day for each mm of planned lengthening. E.g. 65mms = 65 days. We don't start lengthening for 5 days.
Therefore 70 days for 65mms (Precice1) and 85 days for 80mms (Precice2). For tibia lengthening the distraction phase for 65mm is 130 days plus 5 days before we start lengthening (Precice1) and 112days for 80mms (Precice2). Tibia lengthening is ¾mm per day compared to 1mm/day for femur lengthening
Dr Dror Paley
Paley Advanced Limb Lengthening Institute (St. Mary’s Medical Center)
901 45th Street
Kimmel Building
West Palm Beach, FL 33407
Toll Free (888) 888-3873
Email: dpaley@lengthening.us, inquiry@paleyinstitute.org
Website: http://www.paleyinstitute.org, http://www.limblengtheningdoc.org
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I would also like to add that there's a nail removal cost of $15,000, so add that to the expenses. Dr. Paley is an excellent surgeon, so if you can afford him, the additional expense shouldn't be much of a problem. Safety doesn't have a price.
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I sent an inquiry to Dr. Paley about cosmetic arm lengthening and he responded with this:
"Yes we provide it. The cost depends on which method is done.
The costs for surgery are: If done by external fixation then the cost is $48,000. If done by the internal Precice method the cost is $65,000."
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From Cat29
"I'm going to get right to the point here and get to my Q&A with Dr. Paley about the Precice-2 and the most important questions. Thank you to Captain America and Stadiometer for all the information they have already written about Dr. Paley. Even the not so flattering information from Captain America was helpful. Dr. Paley come off to me as a very caring and a no BS kind of guy. I get the impression he does his best to give the reality of lengthening without sugar coating anything and uses the word safety in almost every single sentence.
Q. How much weight bearing does the Precice-2 allow?
A. Each nail allows 75lbs of weight bearing so a patient lengthening both femurs or tibias can put 150lbs of weight on the nails. The welds of the nail have been removed so the risk of breaking the nail from early or too much weight bearing is much lower. That was a weak point in the Precice-1
Q. Can patients walk with crutches during lengthening?
A. Yes, they have to be very careful and follow our exact instructions. We take the time to teach all our patients how to walk safely
Q. Can patients drive during lengthening?
A. Yes, as long as you are not taking pain medicine before you drive
Q. Do patients who have surgery with the Precice nail heal faster than patients who have surgery with other internal nails? Why?
A. Yes, there are many reasons why. First, Precice does not require a torque or twisting motion to activate the lengthening mechanism. Secondly, the Precice offers perfect rate control. Third, I use what's called an osteotome and make drill holes to break the bone. First, the twisting motion causes patients more pain and discomfort and often leads to delays in bone healing by causing trauma to the bone gap.
Second, the perfect rate control is something that was a major problem in the ISKD and was also a problem with the Albizzia nail (Betzbone, Guichet. This is me typing that so there is no confusion) leading to many patients reporting that their rotation counts did not match the lengthening measured in the nail which made it very difficult to achieve the correct lengthening amount per day.
Having the ability to lengthen exactly the correct and safe amount per day with the Precice is a huge advantage and excellent safety feature for patients. Third, surgeons in Europe mostly use an internal saw to break the bone instead of an osteotome and drill holes. Using an internal saw has higher complication rates including delayed healing and non union.
Q. Does the femur bone heal faster than the tibia bone? How much faster are patients able to walk without crutches?
A. Yes, the femur bone heals faster than the tibia but only a little faster. Usually patients who lengthen their femurs are walking without crutches about 30 days after they finish lengthening. Patients who lengthen their tibias are usually walking without crutches about 45 days after they finish lengthening.
The most important part to remember is it's safer to lengthen the femur. The femur has lower complications rates and there is only one bone to break and lengthen compared to the tibia where you have to break two bones and make sure they lengthen equally. I always recommend patients lengthen their femurs first and then come back if they want more height by lengthening their tibias, but we will lengthen their tibias first if that is what they request.
Q. How much does lengthening cost?
A. Answer was the same as what Stadiometer has already posted so nothing new. $70,000 for both femurs and $80,000 for both tibias if you lengthen at home
Q. Can patients fully recover back to their previous athletic ability after lengthening? Does the amount of lengthening make a difference like going over 5cm?
A. Yes, patients can fully recover but it requires a tremendous amount of work and dedication by the patient in daily physical therapy. Lengthening amount can make a difference but it's not that straight forward. You want to choose a surgeon who is experienced and puts safety first and does not allow you to lengthen beyond what is safe for your body. The surgeon should be constantly assessing your bodies response to the lengthening. Complications can develop quickly and need to be addressed quickly. So you can see it's not as simple as just lengthen 5cm an you're safe."
"Dr. Paley said most patients will not achieve the full 8cm in their tibias with the Precice-2 and their soft tissue will most likely prevent them from lengthening anything more than 6.5cm. So nothing different there. "
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"Dr. Paley said most patients will not achieve the full 8cm in their tibias with the Precice-2 and their soft tissue will most likely prevent them from lengthening anything more than 6.5cm. So nothing different there. "
I saw that Cat29 posted this as well. "Dr. Paley said 8cm in the femurs and 6.5cm in the tibias will likely be the maximum for most patients soft tissues."
It just shows how insane Apotheosis is for doing 10cm on both the femurs and tibias. What the hell is Dr. Betz thinking allowing patients to lengthen that much!? :o
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I saw that Cat29 posted this as well. "Dr. Paley said 8cm in the femurs and 6.5cm in the tibias will likely be the maximum for most patients soft tissues."
It just shows how insane Apotheosis is for doing 10cm on both the femurs and tibias. What the hell is Dr. Betz thinking allowing patients to lengthen that much!? :o
Didn't he do 11cm in his tibs and 9cm in his femurs? 11cm in your tibs is really fúcking stupid, it takes for all eternity for it to consolidate and to regain your pre-op level of fitness and flexibility. I want 3 inches for my tibiae because it will probably a very long time before I can do my femurs, but I don't want to end up limping or not being able to run because I lengthened too much.
I think I'll take a similar approach to Sweden's lengthening journey by working my legs in the best physical condition I've ever been in, but I'll lengthen at a slower rate and fight ballerina harder.
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does dr paley only do precice or does he have lower cost options (lon / latn) as well?
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does dr paley only do precice or does he have lower cost options (lon / latn) as well?
He will also do external only or LON/LATN. He encourages using Precise over all the other options though.
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do you know approximately how much difference the cost would be?
also, the way I see it, he could recommend precice but money isn't easy - i would still consider paying more to do the other methods just to do it with him though. He's still an amazing surgeon and would be in the states, yes?
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do you know approximately how much difference the cost would be?
also, the way I see it, he could recommend precice but money isn't easy - i would still consider paying more to do the other methods with him than go all the way to china . He's still an amazing surgeon and would be in the states, yes?
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do you know approximately how much difference the cost would be?
also, the way I see it, he could recommend precice but money isn't easy - i would still consider paying more to do the other methods just to do it with him though. He's still an amazing surgeon and would be in the states, yes?
Hm... now I'm wondering whether he will still perform lengthening with external only or LON/LATN for cosmetic cases. I e-mailed him saying that the Precise was not in my budget and asked for a quote for externals or LON/LATN and this is the response from him:
"There is no savings with these methods since they require two surgeries: one to put everything in and one to lock the nail and remove the external fixator."
I guess if you were to insist on those methods he might do it, but you won't be getting any discount in price when all is said and done, apparently.
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Thanks! That's a shame. :(
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He will also do external only or LON/LATN. He encourages using Precise over all the other options though.
I have the impression that Dr. Paley only uses PRECICE in cosmetic lengthening cases.
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I have the impression that Dr. Paley only uses PRECICE in cosmetic lengthening cases.
Yea that's what it seems like now after I e-mailed him again recently.
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For anyone who has done LL under Dr Paley, how much (I know it would depend on each lifestyle, but I'm looking for a ballpark figure) would be the entire cost for?
- Femur Precise 2, 8cm
- Entire stay in Florida and all expenses
- Excluding airfare
- Excluding nail removal
And I'm asking this just a shot in the dark, hoping someone (non-American) has done LL under Dr Paley. And for the vets, maybe you can guess, considering your own experience from say, Europe? Would it reach 150K?
Any Dr Paley diary available online?
Thanks in advance!
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Another Femur Precice 2 diary by Dr Paley is underway. Surgery 1st of March. From 177.8cm (5'10"), targeting 6'1"
Agrios.
Hope he posts here as well.
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I would also like to add that there's a nail removal cost of $15,000, so add that to the expenses. Dr. Paley is an excellent surgeon, so if you can afford him, the additional expense shouldn't be much of a problem. Safety doesn't have a price.
Anyone know when the nails are removed?
And is there any rehab/physical therapy necessary after the nails are removed?
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You can check my new diary with Paley. surgery was the 22nd of july 2014.
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Another Femur Precice 2 diary by Dr Paley is underway. Surgery 1st of March. From 177.8cm (5'10"), targeting 6'1"
Agrios.
Hope he posts here as well.
I was always quite intrigued by his case. He claimed to gain 10+CM out of the Precise 2, barely 5'10 to a solid 6'2. Additionally, he claims to still look proportional, 5CM over his wingspan! I wish he'd share more details about his lengthening journey.
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Agreed. Most pictures I've seen of patients with 8 cm added to femurs look slightly off, which is probably his case… but does he care? Still I envy him for being able to do it so young, but sadly not everybody have parents who can drop $90K on a whim.
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5CM over his wingspan
You're delusional and paranoid. You can't ever notice 5cm difference between wingspan and height. You wont notice 10cm difference either.
patients with 8 cm added to femurs look off
This doesn't happen. Tall people have naturally very long femurs, and it can take a lot of lengthening easily. This guy is a living proof.
http://www.youtube.com/watch?v=vCuQecNui9g
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I too thought he looked fine when he posted the video, but now I think it's quite obvious that his knees are much lower when he's standing straight. So yeah, it does happen. LL is putting your natural proportions off - how wrong it looks is solely subjective, but some are more subjective than other…
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I too thought he looked fine when he posted the video, but now I think it's quite obvious that his knees are much lower when he's standing straight. So yeah, it does happen. LL is putting your natural proportions off - how wrong it looks is solely subjective, but some are more subjective than other…
Duude! You'd never-ever tell he's disproportionate, if you didn't knew exactly he had lengthened his legs! You know it for a fact and that's why you're making up all this proportions nonsense, you have to realise that it's all in your head.
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Well I wouldn't bother if he was wearing clothes, but seeing him in shorts and looking at my own legs is what's making it evident. That would personally annoy me and it's also why I would never lengthen over 6 cm per section, but that's me.
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You're delusional and paranoid. You can't ever notice 5cm difference between wingspan and height. You wont notice 10cm difference either.
Not a chance. At 5 cm you can kind of tell but at 10cm your looking at t rex style arms. Although if
your starting height is 167cm and your doing 16cm of lengthening I can see why you'd want to
believe it wont be obvious.
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You're delusional and paranoid. You can't ever notice 5cm difference between wingspan and height. You wont notice 10cm difference either.
This doesn't happen. Tall people have naturally very long femurs, and it can take a lot of lengthening easily. This guy is a living proof.
http://www.youtube.com/watch?v=vCuQecNui9g
I would be fine with having the proportions of the guy in the video after lengthening 8CM. In fact I'd be very relieved.
Realistically speaking, though, this guy is Asian and I am not. Asians tend to have much longer torsos on average, proportionally, than Northern European whites like me. This patient admitted himself to having a proportionally ridiculously long torso prior to surgery. Not many (myself included) have this trait. I'd love to see more pics of what 7-8CM on femur would look like on people with shorter torsos, proportionally. Shyshy's proportions pictures are the best examle I've seen to date.
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I always hear about Paley having huge additional costs like medication etc on the forums, how true are these and how much are these costs. I have inherited just enough money to get two procedures with Paley and have a tiny bit left over but I am concerned it might not be enough since I can't gauge how much these "additional costs" are I am studying right now and won't get the procedure for two years.
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Where can I find more information about Paley?
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I always hear about Paley having huge additional costs like medication etc on the forums, how true are these and how much are these costs. I have inherited just enough money to get two procedures with Paley and have a tiny bit left over but I am concerned it might not be enough since I can't gauge how much these "additional costs" are I am studying right now and won't get the procedure for two years.
You lucky motherfker.
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Basically on any web page that has anything to do with leg lengthening; he is a verifiable god of the ll community.
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I am not sure paley or Robert rozbruch I want to do my tibia
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Gotta be honest. I've heard about this surgery for many years now, discovered this forum a few months back, but never really considered this procedure due to cost and most doctors working in other countries.
Until now. My parents are actually moving to Fl. later this month and I have quite a bit of family down there already (including W. palm beach). I think if someday I ever come into an influx of cash, or just finally land a "real" job, I may start saving up for this. I'm only just over 5-2 (62 inches, 157 cm) but the risks terrify me too much to go too far, so 5cm for both femurs and tibia's is all I'm interested in. Sure I'd only be about 5-6, but for me it's still worth it. I suppose I'd consider going a little bit further and try to reach 5-7 if the risk for an extra inch isn't too bad. I'm in really good shape already and I love to physically challenge myself. So doing hours and hours of PT to get back up to 100% doesn't discourage me at all.
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sorry to hear you are 157, well anyway can you really afford 2xLL with this doctor, because that is a huge amount of cash for sure.
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sorry to hear you are 157, well anyway can you really afford 2xLL with this doctor, because that is a huge amount of cash for sure.
Thanks. It's nice to get opinions from like minded people who get where I'm coming from. Even my friends who I've known a long time who have always been fat always tell me not to think about it, it's not a problem, you should just be more confident, etc...
I'm a man, so yeah it's been rough. I'll avoid the cliche's of social awkwardness, no attention from females, doubting your self-worth, no one understands the pain, etc... We've all heard it before. To answer your question though, no I don't have nearly the funds for this sorta thing. I have about 12 grand saved up in a savings account (not counting credit line and my bank account since that money gets spent regularly) but that would go to plenty of other things before this procedure (house, car, or even a vacation at the very least lol).
I sometimes think if I had ate and slept better as a kid I *might've* been a few inches taller, but again at this height it really doesn't make a difference. I'm taller than my parents and most of my family (Yeah, we're a bunch of little runts, lol). I just try to look at life's checks and balances. My brother got lucky and made it to 5-6.5 (66.5 inches) but he's been struggling with his weight since he's a little kid, whereas I've never been overweight in my life once, regardless of how much junk food/candy I ever ate or still indulge in from time to time. I'm 31 btw.
Oh, and I just checked google's centimeters to inches converter, I'm actually somewhere between 158-159 centimeters lol.
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Could anyone tell me when Paley would let me go home? I would have to fly from India to Florida for the surgery and I don't want to stay there longer than I have to.
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Why is it so expensive? I remember reading about LL surgery a few years ago.. the price was around 25k dollars for some specific surgery. Only rich people can afford this surgery :/ I feel like you miss out on a lot of customers by charging so much. Imagine how many patients you would have if you charged 25k!
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Why is it so expensive? I remember reading about LL surgery a few years ago.. the price was around 25k dollars for some specific surgery. Only rich people can afford this surgery :/ I feel like you miss out on a lot of customers by charging so much. Imagine how many patients you would have if you charged 25k!
That logic is flawed, and you can get externals for 15 to 25K. It's the internal nails you have to sell a kidney for.
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I`m at 5'3 (160) and I really want to gain more 4 inches (5'7 would be my ideal) could Paley do 4 inches with the recommendation of my endocrinologist that I'm seeing for 8 years and said that I could gain 10cm?
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I`m at 5'3 (160) and I really want to gain more 4 inches (5'7 would be my ideal) could Paley do 4 inches with the recommendation of my endocrinologist that I'm seeing for 8 years and said that I could gain 10cm?
The PRECICE only goes up to 8cm. There's nothing Paley can do about that.
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Does anyone have any information on Dr Paleys external method. What is the max it can lengthen, how comfortable, price, is it worth it, etc.
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I legit don't think he offers that anymore. There's no reason too. The Percice nail is far superior to any and all externals (IMO); and clearly in his too considering he doesn't even have that information on his own website. So safe to assume internal only.
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I legit don't think he offers that anymore. There's no reason too. The Percice nail is far superior to any and all externals (IMO); and clearly in his too considering he doesn't even have that information on his own website. So safe to assume internal only.
He does external. Except it's for little kids who have a leg discrepancy. I haven't seen an adult with one yet when I was there. And definitely nobody who has doing both legs at a time.
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His rod removal fees are $17,500 including everything. I haven't seen this figure anywhere, so I want to help update you guys on this. It's a bit high in my opinion, because there are other good doctors willing to do it for much less - like more than half that price.
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There are horror stories about paleyhttps://sites.google.com/site/mycrippledleg/home/dr-paley-2-html
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The price for the PRECISE 2 nail is 90,000$ (I have spoken today with the PAley institute)
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That is more than twice what one would spend with Dr. Franz in South Africa, who uses the same device. For me,it is no brainer :)
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That is more than twice what one would spend with Dr. Franz in South Africa, who uses the same device. For me,it is no brainer :)
Twice the price for good reason. Dr. Paley has performed this surgery thousands of times in a center that is built around his talents. You get what you pay for, so sure, no brainer.
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(http://i1296.photobucket.com/albums/ag19/Stadiometer/Screen%20Shot%202016-03-08%20at%201.42.02%20PM_zpsv8cnitew.png)
(http://i1296.photobucket.com/albums/ag19/Stadiometer/Screen%20Shot%202016-03-08%20at%201.41.08%20PM_zpsctfqyisy.png)
(http://i1296.photobucket.com/albums/ag19/Stadiometer/Screen%20Shot%202016-03-08%20at%201.47.25%20PM_zpstcazvszd.png)
(http://i1296.photobucket.com/albums/ag19/Stadiometer/Screen%20Shot%202016-03-08%20at%201.52.40%20PM_zps0ocpsxbt.png)
(http://i1296.photobucket.com/albums/ag19/Stadiometer/Screen%20Shot%202016-03-08%20at%204.12.50%20PM_zpsraplbdta.png)
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Lucky? haha
If I was your height I probably wouldn't do LL
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Hey everyone. Just a little update. I got a 'real' job last October and while I've had to spend more money on a car (and insurance) in order to commute there, I'm making more money now than my last job. I'm also about to get a promotion that will lead to even more money. Suddenly 6 figures for these procedures (especially when said doctor is only a hop, skip, and jump away from whee a lot of my family live down there) doesn't seem like much. It's gonna be a long, hard hustle, but I just have to remind myself of how bad I want it. One thing I can say for sure is that all I want is to go from just over 5-2, to exactly 5-7. So 7cm on the thighs, and 5cm on the shins. Considering this is less than what Paley recommends as being safe, I'm more confident that this overall procedure should be easier.
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This is just insane...175 + 25 = 200 000 $ for that surgery..
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Read about Dr Paley's bad cases in the newspapers. This man is not GOD.
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Hey everyone. Just a little update. I got a 'real' job last October and while I've had to spend more money on a car (and insurance) in order to commute there, I'm making more money now than my last job. I'm also about to get a promotion that will lead to even more money. Suddenly 6 figures for these procedures (especially when said doctor is only a hop, skip, and jump away from whee a lot of my family live down there) doesn't seem like much. It's gonna be a long, hard hustle, but I just have to remind myself of how bad I want it. One thing I can say for sure is that all I want is to go from just over 5-2, to exactly 5-7. So 7cm on the thighs, and 5cm on the shins. Considering this is less than what Paley recommends as being safe, I'm more confident that this overall procedure should be easier.
Which Job and how much are you getting paid that would allow you to save that much?
I am an Engineer, which is classed as one of the high paid jobs, and I would still not afford this surgery if I was going to go with Paley!
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Which Job and how much are you getting paid that would allow you to save that much?
I am an Engineer, which is classed as one of the high paid jobs, and I would still not afford this surgery if I was going to go with Paley!
I'm a mail handler at the post office. I actually started back in October but I wasn't 'career' yet, and thus couldn't do overtime. However, I just got turned over which means a small raise, but more importantly I can do overtime now. Overtime is time and a half for the first 20 hours (as well as holidays), and double pay for any more than 20 hours of overtime. Now, I only get paid $15 and change an hour, however, I have pretty much no expenses aside from rent, gas, car insurance and food (and believe me it doesn't make much of a dent). Also, I work at the warehouse at JFK airport, which means there's lots opportunity for overtime. If I can do 12 hours a day, 7 days a week (and believe me some people do that), I can clear $1500-$1600 a week AFTER taxes, and that comes to 72k - 78k a year after taxes.
Like I said, it'll be a hustle, but now that this fantasy could become a reality (albeit about like 5 years from now), I am more than willing to put in the time. The work isn't hard anyway, and I have no life whatsoever (the ladies don't like short guys, after all, right? So I don't socialize or 'go out' anymore). Now I'm more concerned with getting a transfer and moving to Florida.
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I'm a mail handler at the post office. I actually started back in October but I wasn't 'career' yet, and thus couldn't do overtime. However, I just got turned over which means a small raise, but more importantly I can do overtime now. Overtime is time and a half for the first 20 hours (as well as holidays), and double pay for any more than 20 hours of overtime. Now, I only get paid $15 and change an hour, however, I have pretty much no expenses aside from rent, gas, car insurance and food (and believe me it doesn't make much of a dent). Also, I work at the warehouse at JFK airport, which means there's lots opportunity for overtime. If I can do 12 hours a day, 7 days a week (and believe me some people do that), I can clear $1500-$1600 a week AFTER taxes, and that comes to 72k - 78k a year after taxes.
Like I said, it'll be a hustle, but now that this fantasy could become a reality (albeit about like 5 years from now), I am more than willing to put in the time. The work isn't hard anyway, and I have no life whatsoever (the ladies don't like short guys, after all, right? So I don't socialize or 'go out' anymore). Now I'm more concerned with getting a transfer and moving to Florida.
sounds like you got it all planned out, but those hours are crazy!.... all the best.
I am just still a junior engineer, I am on £40,000 a year before tax, so will take me a while to save. But because I want it now and don't have any savings, I am going to take a loan from the bank, sell my car, ask time off work, go and get it done, then return to work and pay off the loan.
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do u perform legs shortening surgery?
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Yes he does. Why do you want leg shortening?
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because my legs became so long and out of propotions its making me feel bad and depressed i cant even look at my body in the mirror !! and my upper body looks shorter i hate it i really hate if i dont do this surgery ill commit suicide!
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and can u please tell me the price and the procedure
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because my legs became so long and out of propotions its making me feel bad and depressed i cant even look at my body in the mirror !! and my upper body looks shorter i hate it i really hate if i dont do this surgery ill commit suicide!
Seriously?
All you need is a shrink.
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and can u please tell me the price and the procedure
There are contact information in the first page.... If you can't find the willpower to make a phone-call or send an e-mail to the doc to ask about pricing, than why should anyone do that for you?
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Committing suicide is serious. This guy needs help. You don't help when you are so rude.
Yassir, go to your doctor, perhaps get psychological advice, then ask Paley if he does cosmetic leg shortening for disproportion limbs. How tall are you?
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because my legs became so long and out of propotions its making me feel bad and depressed i cant even look at my body in the mirror !! and my upper body looks shorter i hate it i really hate if i dont do this surgery ill commit suicide!
Your legs are THAT long that you want to end it all? Would you mind posting a picture in the Height & Proportions section because I suspect it could be strong BDD.
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Suicide, it is a serious stuff. If you think that your legs are very long, check it, just take a measure of your sitting height. Most of the people have a SH proportional for their height, maybe you are skinny and you think your legs are long but probably it is just your perception, it is not real.
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Onemorefoot has reason. Perhaps your legs seem too long because they are skinny
don't be so sad, bro. get help. and if you can't get help, ask Paley for opinion
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im 6'0 now but my legs are the reason why im tall cause my torso is really short! and yes i need psychologic help cuz i lost interest in life and i spend the whole day sleeping or crying ! and suicide is like an escape from this pain at least i wont suffer everyday! before u judge try to understand a little
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Yassir are you a teenager yet???
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Perhaps you can work out your legs. If they become thicker they won't look so long!
Don't be sad bro! We can support you.
I would advise:
1) working out legs
2) visiting a psychologist
If this doesn't work, visit Paley to see what he thinks about leg shortening.
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no i turned 21 last week , and yes i have a date with a psychologist 9 september! i tried with the gym but i guess the best solution is to go under the knife and shorten em that would absolutely change my life and bring joy back! thank you for ur support
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I am sure your SH ( sitting height) is at least 94 cm, so your torso is not short, if it were short you would continue growing, torso is the last part that grows in humans.
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ill mesure it tomorrow and tell you! but i feel so unconfortable when im standing up i feel like a tree or something
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no i turned 21 last week , and yes i have a date with a psychologist 9 september! i tried with the gym but i guess the best solution is to go under the knife and shorten em that would absolutely change my life and bring joy back! thank you for ur support
Hey man i'm sorry for how you feel. If you need someone to talk to feel free to pm me.
Especially if you are suicidal i can relate.
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No man, when you take a measure you will see that sometimes, our deep thoughts are just ilusions.
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Perhaps you can work out your legs. If they become thicker they won't look so long!
Don't be sad bro! We can support you.
I would advise:
1) working out legs
2) visiting a psychologist
If this doesn't work, visit Paley to see what he thinks about leg shortening.
You also advice as same as mine .why am i rude?
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Seriously?
All you need is a shrink.
You can say the same things more politely. Anyway Tibike's message was more rude than yours. THis guy yassir needs help not rude words
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i asked doctor paley he said that he performs bilateral femoral shortening ! it doesnt include the tibia right?
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I don't know how much you want to shorten but yes it doesn't.
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No man, when you take a measure you will see that sometimes, our deep thoughts are just ilusions.
Reality is illusion
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I'd really want to know what your SH/Inseam is yass...
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i wanna get rid of 1 inch from the tibia and 1 inch from the tigh to have normal propotions
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ill mesure tomorrow and ill tell u
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You will need money for 2 surgeries. Imho going for 1 inch per segment is kinda pointless.
btw i will respond to your PM tomorrow cuz of the forum limit.
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2 inchs off would change my life :(
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Take it easy, if that is your final decision, nobody can do something.But you should take like Alu said the measurement of your inseam and SH, maybe with those numbers you will see that you are perfectly normal just like another 6 footer.
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i promise tomorrow ill post it cuz now im in bed its night
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Rest and be happy.
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Actaully I'm forgetting the most useful evidence of them all....
Just take a picture; cover your face while you're at it, but take a picture...
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thank you i ll take it as well
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For those who choose LL with Paley, many patients including myself have used:
J.A.D.A. Transitions, LLC
Which is currently a single woman La Chanta Horne
jadatransitions@gmail.com
She has learned through experience rather than a graduate PT program, and will stretch you at your hotel room. She's great. Best value of anything I've done here in West Palm Beach. I don't know about Thomas stretch because Paley didn't list that to stretch for LL prep on his website so I didn't stretch it preop (but I'm past 0 degrees on it now so good flex there) but in less than a month post 74mm bilateral femur lengthening I got roughly equal to more flexible depending on the tendon/muscle than I was preop and far more so than I was pre-LL consultation. However, I'm not typical. She will stretch you as lightly or strongly as you choose. Patients who are mentally soft won't ask her to stretch them hard and won't get good results. She's great but no magic wand. You still have to be willing to work hard to get results.
If you don't stay at one of Paley's partner hotels and are not close to them you'll likely have to pay extra for her travel time. Stretching yourself is really hard to do properly. If you don't have a loved one or home health aid to stretch you, then she's a no brainier in my opinion.
Also, LL is an emotional rollercoaster and she's had so many patients she can be a great person to talk to.
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im 6'0 now but my legs are the reason why im tall cause my torso is really short! and yes i need psychologic help cuz i lost interest in life and i spend the whole day sleeping or crying ! and suicide is like an escape from this pain at least i wont suffer everyday! before u judge try to understand a little
Not to sound mean but you are fine. i with I had youre problem. People are born with diffrent types of proportions. I hope your still going to the physcologist.
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Not to sound mean but you are fine. i with I had youre problem. People are born with diffrent types of proportions. I hope your still going to the physcologist.
He changed mind actually.
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Post a photo of your legs.
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Post a photo of your legs.
Excuse me
Dose Dr Paley,s Email have any change?
I have written Email to him two months ago that two Email (dpaley@lengthening.us, inquiry@paleyinstitute.org) but it did not any respond.
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I try it either and I cannot any answer, please somebody could help us out
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Dr. Paley's email is dpaley AT paley-institute DOT org, without the dash.
So I have my consultation with Dr. Paley next week, for femur lengthening. Any questions you guys want answered? Some questions I have so far that are of general interest:
- Do I need a wheelchair with the PRECICE 2 at my 150lbs weight, or can I use crutches?
- Why would I opt for PRECICE 2 when Guichet/Betzbone (Albizzia) can bear my full weight and I can walk with crutches on week 2?
- Worth waiting for PRECICE 3?
Any others?
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Holy sh*t! You just typed out an email address in long form and you actually need an answer to question #2. You definitely took the short yellow bus to school everyday.
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Holy sh*t! You just typed out an email address in long form and you actually need an answer to question #2. You definitely took the short yellow bus to school everyday.
So why is this guy not banned??
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Why would I opt for PRECICE 2 when Guichet/Betzbone (Albizzia) can bear my full weight and I can walk with crutches on week 2?[/li][/list]
From http://www.paleyinstitute.org/centers-of-excellence/stature-lengthening-center/stature-lengthening-complications:
"With the ISKD and Albizzia internal nails, premature consolidation was a well-recognized complication due to the lack of rate control. Since lengthening in both of these devices occurred by movement through the osteotomy site and since movement through the osteotomy site can cause pain and muscle spasm, the patient’s muscles sometimes would prevent the movement and therefore the lengthening would not occur. In other cases, both the ISKD and the Albizzia have had broken mechanisms that fail to lengthen during the distraction phase leading to premature consolidation. The treatment in these cases was to not only re-break the bone but also to change the device to a new one. Although in each case the company provided a new device at no additional cost, the patient still had to bear the cost of an additional outpatient surgery. With the PRECICE and the PRECICE 2, this complication almost never occurs.
Rapid distraction was the most common cause of poor bone formation with the ISKD. This is not a problem with the PRECICE nail since it has complete rate control. Poor bone healing can be recognized during the lengthening process. Once it is recognized, the rate of distraction can be slowed. With the PRECICE the lengthening can be reduced to any level or even stopped. If, despite these changes, the bone healing remains poor, the lengthening can be reversed until better bone formation is seen. The bone can then be re-lengthened. This can only be done with the PRECICE. Going in reverse is not possible with the ISKD, Albizzia, or the Fitbone. This is a huge advantage that is possible with external fixation and now with the PRECICE. "
From http://www.paleyinstitute.org/centers-of-excellence/stature-lengthening-center/history-of-stature-lengthening:
"The Gradual Lengthening Nail, also known as the Albizzia Nail (Depuy, Villerbanne, France) was later modified and released as the Betzbone and the Guichet nail, for use by its two namesakes, respectively. It takes 20 degrees of rotation to move the ratchet one notch. Each notch is 1/15 of a millimeter. Many reports exist of patients suffering from severe pain and discomfort, which limit their ability to independently perform the lengthenings. In some cases, these patients required readmission to the hospital with general anesthesia and closed manipulation. In other reports, 12% of the lengthenings remained incomplete because the patients were simply unable to tolerate the pain of the manipulation.
When the Albizzia nail became available in the United States, Dr. Paley worked with the French company to develop a tibial lengthening Albizzia for stature lengthening, which he started using in 1996. The severe pain experienced by patients from the 15 to 20 degree rotation of the thigh through the break in the bone, as well as several implant failures, lead Dr. Paley to stop using the non-FDA-approved device."
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So let me get this straight. You read all that information from Dr. Paley on his website, post it for everyone else to read, and you still need an answer to question # 2. I know Dr. Rozbruch requires patients to meet with a psychiatrist, if Dr. Paley required his patients to take an IQ test then you would be f**ked...
Q: What is 1+1?
A: 11
"I'm sorry fivefive, you are disqualified from limb lengthening surgery. Height doesn't matter when you live out your days chasing pigeons around a public park"
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Link: http://www.paleyinstitute.org/media/file/Cosmetic%20Stature%20Lengthening%20FAQs14_1.pdf
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(http://i67.tinypic.com/2je1dgo.jpg)
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Link: http://www.paleyinstitute.org/media/file/Cosmetic%20Stature%20Lengthening%20FAQs14_1.pdf
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Thanks for sharing the .pdf. Interesting read.
So Paley's team doesn't go over 5cm in tibias.
Also interesting they don't seem to do externals on tibias, going by the prices there.
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Thanks for sharing the .pdf. Interesting read.
So Paley's team doesn't go over 5cm in tibias.
Also interesting they don't seem to do externals on tibias, going by the prices there.
Paley will not go over 5cm on tibias in a single lengthening. If you want more you have to stop at 5cm, go back and rebreak the tibias a year later to lengthen the remaining 3cm in order to achieve the full 8cm. Paley has not done external tibias in close to a decade for cosmetic patients.
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(http://i65.tinypic.com/2ymfuyw.jpg)
Sounds good. If only I was a millionaire
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So i made some calculations if i go to Dr.Paley would cost me around 255K $ - 300K $
inicial consultation 1.3K
Tibia ( STRYDE) + femur (STRYDE) 3 weeks apart 190K
Medications 4K
Accommodations (22 weeks, 17-18 weeks distraction + 4-5 extra for rehabilitation/Consolidation Phase in WPB) 24K
extra PT (only first 13 weeks are cover, so 9 more weeks ) 10K
Food and other supplies + transport 11K
Home health aides 15K
complications extra surgeries 35K - 45 K
Do you think that is correct? I'm forgetting something?
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So i made some calculations if i go to Dr.Paley would cost me around 255K $ - 300K $
inicial consultation 1.3K
Tibia ( STRYDE) + femur (STRYDE) 3 weeks apart 190K
Medications 4K
Accommodations (22 weeks, 17-18 weeks distraction + 4-5 extra for rehabilitation/Consolidation Phase in WPB) 24K
extra PT (only first 13 weeks are cover, so 9 more weeks ) 10K
Food and other supplies + transport 11K
Home health aides 15K
complications extra surgeries 35K - 45 K
Do you think that is correct? I'm forgetting something?
lmfao absolutely absurd prices
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So i made some calculations if i go to Dr.Paley would cost me around 255K $ - 300K $
inicial consultation 1.3K
Tibia ( STRYDE) + femur (STRYDE) 3 weeks apart 190K
Medications 4K
Accommodations (22 weeks, 17-18 weeks distraction + 4-5 extra for rehabilitation/Consolidation Phase in WPB) 24K
extra PT (only first 13 weeks are cover, so 9 more weeks ) 10K
Food and other supplies + transport 11K
Home health aides 15K
complications extra surgeries 35K - 45 K
Do you think that is correct? I'm forgetting something?
Hey man, I appreciate the research, but I think the prices are way off.
I had my LL in Sept 2017 and heres what I paid:
Medications: $440 *3 (I don't remember the exact amounts, but it was Xaralto and Pain killers. Xaralto was the most expensive one, at about $400/mo). If you are doing 2 se
Accomodations: I booked a handicapped accessible room with shuttles to the Paley Center last minute during the busiest season at Homewood Suites. The cost was about $90/night inclusive of taxes. If you choose to stay for the entire 90 day period, it would be about $8100
Transport: $0 if you are staying at a hotel with the shuttle. Otherwise, factor in $40-$80/ day for a wheelchair accessible cab.
Food: This is Florida. Food should not cost more than $600/month. However lets say you order outside food every day for 90 days. I don't think any standard meal in FL costs more than $15. So lets include delivery fees and make it $20 (which is way more than what the actual cost would be. That would amount to $20 x 3 x 90 = $5400.
Home health aides: You only need them for 2-3 weeks. If you want a good one, you probably want to pay extra... say $25/hour. Lets say you take extra long and need a live in aide (you most likely wont. you can do with an aide visiting for a few hours per day to clean/do basic stuff). Then the cost would be 24 x $25 x 7 x 3 = $12600, but remember this is the total max scenario if you choose the most expensive options for everything. You may have to pay for an extra room at the hotel for them. $60 (remember you don't need a handicapped room for them) x 7 x 3 = $1260. Total = $13860.
Complications: Thankfully nothing happened to me, but Paley recommends that you keep $25,000 on hand.
EDIT: I just realized I did the calc for 1 surgery, not for 2 segments. If you are doing the 2 segments 3 weeks apart, just add 3 more weeks to the calculations, as the lengthening for both segments should stop at around the same time (femur is lengthened faster than the tibia).
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Recalculated for 2 segments 3 weeks apart:
Med: $440 x 4 = $1760
Accommodations: $90 x (90 + 21) = $9990
Food: $ $20 x 3 x (90 + 21) = $6660
Home aide: (6 weeks): $25200 (but you really don't need an aide for that long). Included hotel stay for aide: $2520. Total: $27720.
Extra money for complications: Still probably $25,000.
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That's the thing. You have to pay the highest price and if a complications occurs you need another 25 k$ even when it's not your fault or what?
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Yeah the extra you have to keep in reserve for complications is rediculous.
I am planning on gokng to Paley in Late October early November for my surgery and my cost breakdown was something like:
$97,500 (he increased the price by $2500 compared to 95000) for bilateral internal femur using Stryde
$25000 in reserve for complication (hopefully don’t have to use)
Physical therapy and x days etc are all apart of the $97,500 so the only thing I need to worry about is a caretaker since I’ll be going at it alone (I’m from Canada), I’m doing 5.5 cm so if no complications take place I’ll need to stay for 8 weeks lengthening + 12 weeks consolidation. I’m hoping after 12 weeks I’ll be able to do normal activities and won’t look like a weirdo when walking because no one knows I’m doing the surgery. So I’ll be back in Canada in 5 - 6 months.
The first 3 months I’m planning on staying at the quantum house which is located in the St Mary hospital campus and is offered to patients at $40/night. Food is included most of the time since volunteers come and cook for everyone. The last 2 months if I’m able to do it I’ll be staying at an Airbnb at around $80/night.
Do you guys think my timeline is pretty accurate for being able to walk properly and perform activities at 80% 6 months post surgery using styrde? I’ll also be uploading a diary when I go.
Would love to see if someone is planning on going around the same time so we can do it all together.
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For up to date information on Dr. Paley's pricing and information about the PRECICE-STRYDE click on the following link. There are several posts so simply scroll down to view all the information.
http://www.limblengtheningforum.com/index.php?topic=5507.msg93315;topicseen#msg93315
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Dude, you can save yourself half the cost or more if you go abroad. Why have you got your mind set on Paley in particular? You're from Canada so you'll need to travel anyway. I know of at least one Canadian that came and did both femurs and tibias with Dr Jamal way back. He was a young kid, paid for by the parents. Had an excellent result.
I just posted some gym videos under my diary.
http://www.limblengtheningforum.com/index.php?topic=9000.0
Needless to say, I am very happy with my result and recovery. Paley is good, I wouldn't say he's necessarily the best.
Wherever you decide to go, wishing you the best on your journey.
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Hey thanks for the recommendation. I want to do internal femurs for 5 - 6 cm, currently sitting at 5’8.5 in the evening and 5’9.25 in the morning. Sometimes it varies a bit but I’m looking forward to my consult so I can see exactly what my height is according to him.
The main reason I want to go to paley is because of the Stryde nail. I’ll be able to put full weight on my legs 2 - 3 weeks after surgery and it appears that the recovery times are quicker. If I can walk with a normal gait 4 months post surgery I consider it a huge success. I have thought about going overseas especially to Kiev because it seems like dr Jamal visits you everyday on this journey which is amazing. My one criticism of Paley based on other diaries etc is that it seems like he’s more rushed since he has sooo many other patients. Checks you real quick and leaves, but he does have the best track record so I don’t mind spending $150k MAXIMUM (97,500 for surgery + 30000 k reserve + 20k to live (food, hotel, caretaker for part of my stay) ) for 4 - 5 months in Florida. I know it’s alot of money but I just want the safest option and quickest recovery possible.
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The Jamal mail is fully weight bearing too. Paley seems to be doing ok, definitely has the best exposure and marketing.
And yes, doctor will visit you daily here, do all your clicking, give you pills and jabs if you're in more pain than usual, physio etc. Definitely a more personalised experience.
Have a look at my gym videos I just posted.
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Spend 4 - 5 months in Florida. I just want the safest option and quickest recovery possible.
Messenger, I understand why you want to stay in Florida close to Dr. Paley even after your lengthening is complete. The extra physical therapy and the added piece of mind makes sense. In my opinion many parts of your plan are completely unnecessary with the new STRYDE nail and a waste of a whole lot of money.
You could easily spend the 60-70 days in Florida lengthening with your already paid for physical therapy, then go back home to Canada and do your own physical therapy or use a physical therapist near your home. That saves you a ton of money.
You only need a caretaker for maybe the first 10-14 days after release from the hospital, with STRYDE probably not even that long, beyond that is a waste of your money.
Unless you are a kid with a medical condition, the house you mentioned is not available to you. Hotel or AirBnb are your options.
You could find an AirBnb for half the price of the hotels, your only added expense would be the cheap roundtrip Uber rides to the hospital for physical therapy, instead of the free vans from the hotel. You save money plus you get more of a home atmosphere instead of the small confines of a hotel room. If you can find someone else lengthening at the same time as you, then you two could get a 2bd/2ba AirBnb and really save a lot of money on accommodation. You two could also Uber pool together for physical therapy. Plus, going through this process with a lengthening partner is a massive psychological benefit for both of you.
The money in reserve in case of a complication that requires surgery only applies to 1% of patients. No reason to even worry about that.
You are over preparing & over thinking. Those are good signs. You'll be just fine and save yourself quite a large sum of money if you just follow the fundamentals of what Dr. Paley tells you.
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You could find an AirBnb for half the price of the hotels, your only added expense would be the cheap roundtrip Uber rides to the hospital for physical therapy, instead of the free vans from the hotel. You save money plus you get more of a home atmosphere instead of the small confines of a hotel room.
AirBnBs can be potentially cheaper and more homely, but don't forget: You can't just take a regular Uber. You will need a Uber that is wheelchair accessible (although with STRYDE, it may be different). That was my plan originally, but its really hard to find wheelchair Ubers in West Palm Beach. The suites at the hotels nearby aren't that small.
If you can find someone else lengthening at the same time as you, then you two could get a 2bd/2ba AirBnb and really save a lot of money on accommodation. You two could also Uber pool together for physical therapy.
Don't count on being able to Uber Pool together if you are doing LL with a buddy. The Paley center schedules you for 1 hour segments in therapy. They will take your PT and timing preferences into account, but there is no guarantee. There is little chance that the other person will have therapy at the same time, meaning you will not be able to Uber Pool (unless one of you waits for several hours.. and trust me, when you are in pain, you want to get back to your bed immediately instead of waiting at the clinic).
You only need a caretaker for maybe the first 10-14 days after release from the hospital, with STRYDE probably not even that long, beyond that is a waste of your money.
The money in reserve in case of a complication that requires surgery only applies to 1% of patients. No reason to even worry about that.
You are over preparing & over thinking. Those are good signs. You'll be just fine and save yourself quite a large sum of money if you just follow the fundamentals of what Dr. Paley tells you.
On point.
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Leggs that makes a lot of sense. I’m defiantly going to play the caretaker by ear, the first 2weeks definitely I’ll have one, but since I’m going to be all alone I don’t really know how I’m going to feel after 2 weeks and if I’ll be able to do everything I need to do by myself. I’m definitely staying in Florida for the entire PTs which is 11 weeks worth. I’ll be done lengthenjng (Max 6cm) in 8.5 weeks. So I’ll be getting 2.5 weeks of PT during my consolidation phase and if I can walk without sway at that point I’ll definitely go home back to Canada. But I’m not sure if that is possible, I know with normal precise nail that it isn’t, but with Stryde it could be. I plan on doing nothing but focusing on recovery (no laziness whatsoever). And yeah I called and talked to paleys co-ordinar the other day and she said I can’t stay there which is a bummer.
The only reason I would stay at the hotel would be to meet other LLers and do this whole thing together as a team, but my original plan was the air BNB since it’s cheaper. I wrote in the travel part of the forum that I am looking for someone to do this with since that was my original idea since we could share the price of the air BNB and even the caretaker would be split so we could have her for more days and still be paying less then what We would pay alone.
It’s just that no one knows I’m doing this surgery so if I come back home I need to be able to seem like nothing happened which is just a normal gait. I’m not sure how long that would take though especially with Stryde.
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The first 3 months I’m planning on staying at the quantum house which is located in the St Mary hospital campus and is offered to patients at $40/night. Food is included most of the time since volunteers come and cook for everyone. The last 2 months if I’m able to do it I’ll be staying at an Airbnb at around $80/night.
As I mentioned in the PM, I am not 100% sure, but I think the Quantum House is for people under age 18 who are getting LL with Paley and their parents. Call them to confirm. During peak season a lot of the wheelchair accessible hotels (and local AirBnbs) will be fully booked so book your stay early. I stupidly booked a room that was not wheelchair accessible but I lucked out by finding an open room at the next hotel.
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Yeah I saw you write about that. I’m definitely going to book it when I go for my consult with paley in 2 weeks. Once the consult is done I’m going to book the surgery for late October and then book Airbnb, caretakers etc. I just wanted paleys opinion on it as well and his recommendations. I’m really looking forward to this journey.
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The quantum house is unavailable to me. It would have been awesome since i would be in the st Mary campus, but it’s okay. A big debate for me now is Airbnb or hotel. I would go Airbnb all the way, but damn being all alone for the couple months with no one else around you that is doing LL I feel like it would make everything worse. If only someone would do this with me that would be wicked. The hotel would be good since there will be a lot of people there that is doing LL and from what I read in diaries usually they get together have bbqs in the back and hang out around the hotel during the days so just being with someone would be awesome but i just need to figure out the price difference and see if it’s really worth it.
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The Jamal mail is fully weight bearing too. Paley seems to be doing ok, definitely has the best exposure and marketing.
And yes, doctor will visit you daily here, do all your clicking, give you pills and jabs if you're in more pain than usual, physio etc. Definitely a more personalised experience.
Have a look at my gym videos I just posted.
can you please stop shilling your doctor, we get it you receive 7% of every referral but stop polluting other threads with this. I can see an obvious pattern, you have done it in other threads too.
Next time I see it, I report to mod
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@tlannister, please! You were very quick to pollute my thread with your nonsense comments and this isn't even your thread.
7% lol, are you on some type of hallucinogens? As you appear so certain quoting an exact figure, please provide some evidence to back up your claim or else put a sock in it! You are falling flat on your face each time. Even if the doctor offers me some bonus for each referral, I do not actually need it. I am financially secure. I am here to educate, encourage and mentor. LL seems a distant dream for many as it was for me for many years until I was able to afford it. Paley and US doctors seem to charge an extortionate amount. It can be a huge burden on those paying out of their own pockets. Many look abroad for cheaper options but there are pitfalls everywhere. Yes, I am saying if you are going to go abroad, Kiev and Dr Jamal, who trained with the best, Dr Dragan RIP, is the place to get your LL done. But everyone is free to make their own decisions and that's why forums like this exist.
Any more from you and you'll be the one getting reported to mods.
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@tlannister you are totally totally pathetic! You were very quick to pollute my thread with your bs comments and this isn't even your thread.
7% lol, are you on some type of hallucinogens? As you appear so certain quoting an exact figure, please provide some evidence to back up your claim or else put a sock in it! You are falling flat on your face each time. Even if the doctor offers me some bonus for each referral, I do not actually need it. I am financially secure. I am here to educate, encourage and mentor. LL seems a distant dream for many as it was for me for many years until I was able to afford it. Paley and US doctors seem to charge an extortionate amount. It can be a huge burden on those paying out of their own pockets. Many look abroad for cheaper options but there are pitfalls everywhere. Yes, I am saying if you are going to go abroad, Kiev and Dr Jamal, who trained with the best, Dr Dragan RIP, is the place to get your LL done. But everyone is free to make their own decisions and that's why forums like this exist.
Any more from you and you'll be the one getting reported to mods.
Do you see Sweden write posts like:
"I am finally able to kickboxing at the higest level, knee pain is still there but manegable.. I did surgery in India with Dr. Sarin. Here is a link to him."
or Purushrottam:
"I am 100% recovered. I can walkj, i can run, i play soccer.. i did it in USA, FLorida, Baltimore *wink wink* "
No, you dont!
why are you putting words in my mouth? to gain sympathy from readers?
I never said you shouldn't "mentor" or share your LL experience. Just stop mentioning "Kiev" "Dr. Jamal" "Ukraine" when nobody has asked for it. It sticks out like a sore thumb in some of the posts you have made.
And I do happen to agree that we need more competition, the prices of US surgeons are extortionate in my opinion. But we need proper competition from surgeons who provide the safety and quality of service as the US surgeons. And believe me the doctor you're advertising for, which I wont mention by name, is not what I consider equal. I was a member on the old forum and there were diaries of this doctor there too.... trust me. I would rather stay at home short than going to Kiev, India, Vietnam etc.
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Sorry but now you've totally lost me..
It may appear I am promoting for Kiev and Dr J, but as I've said previously, he is merely a good friend who doesn't have any fancy marketing behind him unlike his US counterparts. He helped me achieve a lifetime dream and I think it's only fair that others see what's possible with foreign doctors. US doctors are not the gods some make them out to be and certainly no better than their foreign counterparts as with many other fields. In fact, I pity the whole american medical/healthcare system, with the corrupt FDA and pill pushing big pharma mafia.
In my opinion, Dr Dragan was the best in the world, see link to his bio below, and Jamal trained with him until he sadly passed away in 2011.
http://www.correction.kiev.ua/bonamed/dragan.htm
I was also a member of the old forum and that was well over a decade ago. The patients you refer to were old, lazy or both. I cannot stress enough that the doctor will operate and break your bones, but growing, healing and recovery is up to the patient. You should definitely stay at home than risk going to Kiev, but please don't put Kiev in the same category as India or Vietnam.
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STOP advertising that doctor from a war torn Ukraine and his obsolete nail....
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STOP advertising that doctor from a war torn Ukraine and his obsolete nail....
The guy is posting useful information. We don't know if he is a promoter but at least he posts useful things and give hope to people like me. Real promoters are elsewhere. Cinderella for example.
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doomsday, the 'obsolete nail' provided for probably the best LL results in the world (me not being the only one). I challenge anyone to come forward and prove me wrong. Strength, endurance, athletic ability, anything you want, bring it on. You know absolutely nothing about this doctor's nail and you are not in a position to criticise. So there, I've laid down the gauntlet, either put up or shut up.
Oh and the war was mostly in the east and long over, thanks.
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There is absolutely no track record of that nail. The only person that uses it and recommends it is Dr. Jamal. He cannot be reliable source of information since he makes money of it.
There were very few patients with this nail and some of them had problem with non-union. Not only that the old forum was very suspicious about his diaries that sounded like straight out promotion. Now we have you. Some dude out of nowhere, after 12 years decided to convince us that a nail from a sh*thole like Ukraine is superior to western devices where a patient can sue a doctor for millions. Plus the price of $470000 that can get you Precice 2 in Greece from a doc that work for NHS. Get lost loser. Your promotion will not work here.
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There is absolutely no track record of that nail.
Oh but there is. I for one and Rocky who is just finishing his lengthening phase. Not every patient posts on forums. The doctor can put you in touch with other patients if so desired.
The only person that uses it and recommends it is Dr. Jamal
That's because the intellectual property/patents belong to him. It's his trade secret. No other doctor can use it. As I've stated elsewhere, Dr Jamal was offered the Precise nail but declined. Jamal offers the IOS of the nail world. If you want IOS, you must go Apple. With Android on the other hand, there are a ton of manufacturers to chose from.
He cannot be reliable source of information since he makes money of it.
LMFAO, he makes money out of it?! Every other doctor does it for free/charity?!
There were very few patients with this nail and some of them had problem with non-union.
You are now contradicting yourself by admitting the nail has a track record, albeit a bad one, but much like everything you write, it's total bullcr@ap. You cannot substantiate your claims. Bad results can be down to patient more than doctor. Regardless, no doctor will have a flawless record.
Some dude out of nowhere, after 12 years decided to convince us that a nail from a sh*thole like Ukraine is superior to western devices
My result speaks for itself. I challenge ANY LL patient of any doctor's with any nail to come forward and claim better - including you. Reading your posts, you've had LL, so why not post some photos and a vid at least showing your running? Or is it because you can't run or you run like a gimp? And what sh*thole are you from may I ask?
where a patient can sue a doctor for millions
Perhaps this is your real motivation for wanting LL in the west. Lowlife!
Plus the price of $470000 that can get you Precice 2 in Greece from a doc that work for NHS.
Lol, that would surpass Paley's pricing. Price is $47k, not "$470,000", but it's not aimed at cheapskate losers like you. LL is for successful, well educated, well travelled intelligent people who are just missing a few cm.
Get lost loser
Why don't you come and say this to my face? I've been man enough to publish my pics and videos for all to see. Come on, don't be hiding behind some anonymous forum name.
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Hey man, I appreciate the research, but I think the prices are way off.
Indeed. The largest cost increase you've factored in is complications. Sure, you never know, but I haven't heard of any Paley patients who had to pay for fixing complications. I met two patients who did have complications and Paley treated them for free.
I had my LL in Sept 2017 and heres what I paid:
[...]
Accomodations: I booked a handicapped accessible room with shuttles to the Paley Center last minute during the busiest season at Homewood Suites. The cost was about $90/night inclusive of taxes.
September is not the busiest season. That would be Nov - March/April. I booked March through June, and March/April prices were a lot higher, around $200/night. From March 11 to March 19 I was charged $1951.68 (!). At some point in April, the prices dropped closer to the $90/night Puru mentioned. I don't have exact prices because Homewood's bill was confusing AF, changing rates every 2 days or so.
Anyway, if you do STRYDE (which you should), I don't recommend staying at Homewood for more than two weeks or so, until you can use crutches. Then, get an Airbnb near a gym and use Uber. The reason is that with STRYDE, you'll be able to walk, so you don't need a pool. For me, pool PT was far less effective than walking (not hopping) with a walker, and later with a cane. You'll benefit most from a gym where you can work your upper body and prevent muscle atrophy in your chest and arms. I stayed at Homewood, which does not have a wheelchair accessible gym, nor much equipment beside one bench, and lost ~20% of my bench press 1RM due to not working out for ~3 months.
All in all, it's good to have a quarter mil for doing quadrilateral, but if you don't have complications, you'll be left with about $30k of that $250.
Also, I would absolutely not pay for extra PT (unless you have some particular problem I supposed). It's ridiculously expensive and surprisingly ineffective compared to rest and plain walking using the walker. While still getting PT from Mike (Paley Institute's strongest PT) I was making little progress. A couple weeks after I got home and started walking (not hopping!) with the walker, strength started to come back much more quickly, my dorsiflexion improved rapidly, and now (2 months later) I can walk unassisted (albeit with the expected hip sway). In retrospect, walking was by far the most effective PT, and often I would wake up feeling better and stronger without killing myself in the gym (on the contrary, too much biking led to extra pain the next day), as long as I got decent sleep.
Also, I don't know about this Dr. Jamal. And that says a lot. If you want safety, go with a center that does a high number of these surgeries, and with the most experience surgeon you can find. Is that Dr. Jamal with this proprietary nail that very few people have heard of? Popularity may be a weak criterion in general, but in the case of surgeries, the more experience the doctor has with a particular tool, the safer you'll be.
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Thanks for the info.
Yeah I read your coats and I get I’m being cautious with the 25k in reserve but I just want to be secure 100%.
I feel like the air BNB is going to be the best route now, I’ll ddcintely try and find one near a gym. I’m hoping paley thinks my timeline of being able to walk without sway within 4.5 months of surgery is do-able using Stryde. The length of time it takes me to walk properly is going to dictate my costs ALOT since I’m not going back home until I can walk without sway. So my new cost breakdown was:
$97,500 (internal femur with Stryde) - legnthening time of 55 days (5.5 cm).
$4,000.00 (caretaker for 2 weeks) - 16 hours x $18/hour x 14 days (don’t know if I’ll need her for that long, but we’ll see. I just need to go through the experience and play it by ear).
$6,000.00 - (air BNB for 4 months - $1500/month) - this could be just for 3 months but again it’s all based on how well I recover and if I can walk without sway. I’m going to be relentless with my PT and exercising.
$1800 - (food) - $15/day x 120 days
$1500 - (miscellaneous) - maybe the last month going out, universal studios etc possibility or just have this as an emergency for extra money). I don’t plan on doing any extra PT etc.
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$110,800 USD total. (Not including $25k reserve for complication)
I’ve gotten an opinion on this already, but if you guys see anything wrong with this or a way where I can cut some corners possibly, let me know please :)
(The gym membership can be included in the miscellaneous along with Uber rides).
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Dr. Paley has now offciially stopped using PRECICE 2.2 in cosmetic patients and exclusively uses STRYDE. The only exception is in patients whose bone canal is too small for the 10mm version of STRYDE. This is a rare occurance and usually only applies to small girls/women.
For more extensive information about STRYDE from Dr. Paley click here: http://www.limblengtheningforum.com/index.php?topic=5507.msg93315#msg93315
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STOP advertising that doctor from a war torn Ukraine and his obsolete nail....
Taller in Kiev, posted X rays, Posted pictures (including ones with scars), and videos( several of them). Do you all want to know why barely anyone does this? because when they do, fools like yourself come along and talk out of their @ss. He is not promoting his doctor, he is simply showing us how the people who have a financial disadvantage can go and get LL done in a less expensive country. Buddy, the Americans learned LL from the East and not vice versa. And then to make matters even more pathetic you start calling Ukraine a dump cause you have nothing else to say. Your ignorance and lack of argument is beyond amusing. And FYI only like 10-30% of LLers post on this forum, there are many more who lengthen and recover without even ever finding out about this forum. Taller in Kiev gave up his time to write on this forum and by far with the most evidence and you give him this Bollocks? Suck up your pathetic pride and leave the forum.
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(http://i64.tinypic.com/27wta91.jpg)
(http://i63.tinypic.com/21v6q.jpg)
(http://i63.tinypic.com/28splxd.jpg)
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What are the current prices of Doctor Paley. I think the thread is out of date.
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What are the current prices of Doctor Paley. I think the thread is out of date.
Its the same,I,checked out.
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Was his email invalid??I tried to contact him by email shown in this thread but Paley turned a blind eye to me :-\
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Try this e-mail: akeller@paleyinstitute.org
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Got a consultation scheduled and paid for later this month, one email said the "EOS and Lab Fees" were $500 and then another said the consultation with Dr Paley the next day is $750. Seems a bit pricey for a consultation but to my understanding he's the best in the business and should be worth the money, does this sound right? Of course I'm talking with the secretaries but feel like it's good to ask unbiased sources too. Thanks!
Also going into it, what questions/concerns would be good to ask in order to make the most of my time and money during the visit? Here's what I have so far that I haven't been able to find in much detail on the forums and information pamphlets:
-shortest possible timeline to 100% functionality for folks that do everything right (I know that depends on a lot)
-activities with stryde (swimming?)
-places to live nearby
-Medications used and concerns about them (cost and side effects)
-getting an FAA medical certificate after surgery (this is a requirement to work as a professional pilot)
Found the answer to a couple of my questions from reading this extensive information pamphlet:
http://paleyinstitute.org/wp-content/uploads/Cosmetic-Stature-Lengthening-FAQs16-1.pdf
No the consultation fee isn't included in the total costs listed, doesn't say how much it's supposed to cost in the pamphlet and the way it reads, it sounds like they used to do both the EOS and the interview in the same day.
Looks like you can get financing on your own but there's a 10-grand deposit for the surgery and it can only be booked 2 months in advance with the deposit required at the booking and the rest due two days prior to surgery.
There's also some info on how to stretch and some do's and don'ts to best prepare. The timelines seem vague and I'd like to know more specifics about nutrition and lifestyle.
Starting to look like I'm gonna see about just getting tibia or femurs depending on which seem relatively shorter and what Dr Paley recommends etc. From the .78-.82 tibia-femur ratio given I think I may be a perfect candidate for the 5cm tibia only option (based on my rough measurements with a tape measure), I'll have to wait and see. I initially wanted the full 10cm simultaneous operation but 197-grand up front is a bit much right now.
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^meant to say femur only option, but again I'll have to wait.
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Just did my consultation with Dr. Paley today. The experience was very informative and helpful and here's what I got out of it:
The consultation is totally worth it and will give you a much better feeling of what to expect and what life is going to be like. It will also give you your exact measurements/health status and therefore an idea of how well suited you are for various options. The staff was very frank, down to earth and helpful. They didn't try to sell the procedure nor discourage something I wanted. The overall vibe was that Femur only procedures are the simplest and safest, best bang-for-buck and require the lightest therapy but no matter what it's a huge process and they are strict about their protocol. They added that they don't give any guarantee about length gained, but rather progressive goals that are updated throughout the process. From their experience, the exact ratios don't really effect the overall appearance or functionality much at all, and that overall health, timeline, and budget should take priority in making a decision.
The weight bearing and reliability of Stryde is a total game changer, making the recovery process much better . The physical therapy area was legit and the staff knew what they were talking about. I got a 100% safe vibe from the place and would have no problem trusting my heath to them.
For me, my blood and bone health looked great, my flexibility tests turned out about average overall with a bit above average in the Achilles (thank god), good for either tibial, femur, or both and I have about the following measurements and ratios: 34.5cm Tibia, 44cm Fibia ~.784t/f = tibia low end of the normal ratio. 171cm total height of which almost exactly 50% is leg so low end of normal range. These are some example options:
5cm T/5cm F = .81t/f, ~52.5% l/h, 181cm/5'11.25"
6cm F only= .69t/f, ~51.7% l/h, 177cm/5'9.69"
5cm T only= .9t/f, ~51.1% l/h, 176cm/5'9.29"
All in all very reassuring to hear that I don't have any major issues. It was good to feel the reality of it to see if it is really something worth doing and how it should be done.
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Just did my consultation with Dr. Paley today. The experience was very informative and helpful and here's what I got out of it:
The consultation is totally worth it and will give you a much better feeling of what to expect and what life is going to be like. It will also give you your exact measurements/health status and therefore an idea of how well suited you are for various options. The staff was very frank, down to earth and helpful. They didn't try to sell the procedure nor discourage something I wanted. The overall vibe was that Femur only procedures are the simplest and safest, best bang-for-buck and require the lightest therapy but no matter what it's a huge process and they are strict about their protocol. They added that they don't give any guarantee about length gained, but rather progressive goals that are updated throughout the process. From their experience, the exact ratios don't really effect the overall appearance or functionality much at all, and that overall health, timeline, and budget should take priority in making a decision.
The weight bearing and reliability of Stryde is a total game changer, making the recovery process much better . The physical therapy area was legit and the staff knew what they were talking about. I got a 100% safe vibe from the place and would have no problem trusting my heath to them.
For me, my blood and bone health looked great, my flexibility tests turned out about average overall with a bit above average in the Achilles (thank god), good for either tibial, femur, or both and I have about the following measurements and ratios: 34.5cm Tibia, 44cm Fibia ~.784t/f = tibia low end of the normal ratio. 171cm total height of which almost exactly 50% is leg so low end of normal range. These are some example options:
5cm T/5cm F = .81t/f, ~52.5% l/h, 181cm/5'11.25"
6cm F only= .69t/f, ~51.7% l/h, 177cm/5'9.69"
5cm T only= .9t/f, ~51.1% l/h, 176cm/5'9.29"
All in all very reassuring to hear that I don't have any major issues. It was good to feel the reality of it to see if it is really something worth doing and how it should be done.
Did he require a psychological evaluation? One thing I'm wondering about is if a patient does femur (and achieves a decent height) and then maybe 10 years later does tibias.
I imagine such a patient would be questioned about his motivations to do another leg lengthening after achieving a decent height. It'd be for proportions/biomechanics though.
Though I'm getting vibes that even having a really long femur doesn't mess up your biomechanics? It still seems like having more even femurs/tibias could help with biomechanics.
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http://paleyeurope.com/en/contact/
Paley Institute has an office in Europe; is it also for LL procedure?
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http://paleyeurope.com/en/contact/
Paley Institute has an office in Europe; is it also for LL procedure?
There's a page on the site that lists what they treat; I don't see that listed.
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http://paleyeurope.com/en/contact/
Paley Institute has an office in Europe; is it also for LL procedure?
I don't think they will provide the same amount and quality of care as in Florida. Even patients in Florida must feel worried if Paley is going to be flying around the world all year for surgeries (while being away from patients in West pam beach)
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http://paleyeurope.com/en/contact/
Paley Institute has an office in Europe; is it also for LL procedure?
Indeed they do surgeries in Europe ;)
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Guys I had a consultation in WPB and spoke with Angelique about many of my questions. I think they painted a very optimistic picture of everything. I want to ask other Paley patients about their opinions on my questions:
1- Do you get to meet Paley during every checkup? Or is it Robbins? Or can it be someone else sometimes?
2- how long (time) does Paley spend per checkup? What about other docs if he is not there?
3- how helpful are Paley staff with logistics of LL? I want to know about:
a. transportation: how do you get to your hotel after discharge with all your stuff?
b. non LL medical care: can you go to St Marys for any problems other than LL related? WPB is a rather empty chilled out 'vacation' place and I hardly saw any hospitals there. what would you do if you had some other health issue? I will be doing this 100% alone and I am entirely on my own.
c. would Paley staff directly help you out in non LL related health matters generally? I have also been in touch with Dr. Debiparsad's office and they have been very generous in their replies and reassuring me I will not be abandoned. Whereas Paley's office is quite terse in their communication (in person they were very warm though)
d. care takers dont seem to spend the night with you. Is it always the case? has anyone had experience hiring a caretaker 24x7 ?
e. can you trust caretakers with your belongings / cash / credit cards?
4- how much does reosteotomy cost? I think preconsolidation is really the only possible complication I might face at a center like Paley's so I want to know what is a realistic amount to keep aside.
5- Is homewood suites the most comfortable hotel to be in for this? Do they help with room deliveries? are they generally kind and compassionate towards handicapped people? I think I am going to descend to a very low point whilst doing this and warm people around me would be godsend
6- do patients in homewood suites to help each other out (like a community)? I did visit the hotel and saw one guy in crutches and one in a wheelchair. They however avoided eye contact and seemed to not be interested in a dialogue (I totally understand this though). I'm not sure what amount of social life to expect whilst there :)
I really hope to read some experiences on this guys!
Thank you!
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Guys I had a consultation in WPB and spoke with Angelique about many of my questions. I think they painted a very optimistic picture of everything. I want to ask other Paley patients about their opinions on my questions:
1- Do you get to meet Paley during every checkup? Or is it Robbins? Or can it be someone else sometimes?
2- how long (time) does Paley spend per checkup? What about other docs if he is not there?
3- how helpful are Paley staff with logistics of LL? I want to know about:
a. transportation: how do you get to your hotel after discharge with all your stuff?
b. non LL medical care: can you go to St Marys for any problems other than LL related? WPB is a rather empty chilled out 'vacation' place and I hardly saw any hospitals there. what would you do if you had some other health issue? I will be doing this 100% alone and I am entirely on my own.
c. would Paley staff directly help you out in non LL related health matters generally? I have also been in touch with Dr. Debiparsad's office and they have been very generous in their replies and reassuring me I will not be abandoned. Whereas Paley's office is quite terse in their communication (in person they were very warm though)
d. care takers dont seem to spend the night with you. Is it always the case? has anyone had experience hiring a caretaker 24x7 ?
e. can you trust caretakers with your belongings / cash / credit cards?
4- how much does reosteotomy cost? I think preconsolidation is really the only possible complication I might face at a center like Paley's so I want to know what is a realistic amount to keep aside.
5- Is homewood suites the most comfortable hotel to be in for this? Do they help with room deliveries? are they generally kind and compassionate towards handicapped people? I think I am going to descend to a very low point whilst doing this and warm people around me would be godsend
6- do patients in homewood suites to help each other out (like a community)? I did visit the hotel and saw one guy in crutches and one in a wheelchair. They however avoided eye contact and seemed to not be interested in a dialogue (I totally understand this though). I'm not sure what amount of social life to expect whilst there :)
I really hope to read some experiences on this guys!
Thank you!
I did Bilateral Stryde femurs (8 CM) with Paley in Sep 2019.
1. Every checkup I had post op was with Dr. Robbins. Paley doesn't really get too involved in patient care post op and leaves that to the other doctors. I found that Dr. Robbins was knowledgable and sufficed for all my needs. Paley is reachable through an online patient portal if you need him.
2. Depends on how you're doing. Can range anywhere from 5 min if everything is textbook clean or 30 min if there are issues. Overall my experience was textbook so I averaged about 5 or 10 min. The doctors are very busy - CLL patients are just a fraction of their clinic.
3.a. Arranging for discharge from hospital to hotel is the patients responsibility. The nurses and staff assisted in carrying me out but I needed to hire a caretaker to handle the majority of it.
3.b. Yes, thankfully I didn't need to but I saw other CLL patients have other non CLL health issues come up and they were able to get them addressed at St. Mary's.
3.c. Paley and his staff stay focused on CLL. I'd imagine if you had a non CLL issue come up they'd refer you to another doctor. They'd weigh in on the issue from a CLL perspective (i.e. any interrelated dependencies) but they won't act like your general doctor I'd assume for liability reasons.
3.d. Caretakers can spend the night with you and typically charge on an hourly basis. I worked with the agency Nightinggale, my experience witgh them was so- so, but for the first 4 days after hospital release I had them 24/7 watching over me.
3.e. This depends on the caretaker. I had no issues with mine but I would still be cautious and store all valuables in a secure place. Speak to the agency and ask if they can provide you with experienced caretakers who have worked with CLL patients before.
4. I don't know- would depend on the situation (e.g. who was responsible for it, Paley staff negligence or patient?) I would reach out to MyEvolution as he is going through this right now.
5. Homewood staff and my stay was positive. They have a lot of experience with CLL patients and are helpful and compassionate. As a general policy they don't help with home food deliveries but you can just have the delivery person go to your room. They do help with other things like helping you get mailed items to your room, throwing garbage out, etc.
6. The CLL community at Homewood was by far the most valuable asset to my experience that I didn't originally plan for. I also did CLL solo and the mental solitude will test you. I don't think I could have finished had it not been for the CLL friends I made at the hotel. You form a unique social bond with them because you share this brutal and unique experience and they quickly become your support structure and extended family, it really helps the time go by faster. Some of the friendships I made will likely last a lifetime. I remember one patient was staying by himself at a smaller, cheaper hotel with no other CLL patients and he nearly went crazy from the isolation and loneliness, he later moved to Homewood and formed friendships with the other CLL guests which pretty much saved him from going nuts. I'd reach out to Paley's staff and see if they'd be willing to help you network with patients scheduled to do it around your time.
Best of luck man. If you are set on CLL, you are on the right path: you are going to the most experienced doctor in the world with Paley, along with a world class team with his PT staff. Homewood Suites is a great place to stay.
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Thank you TheAlchemist. That was very helpful!
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anyone knows if paley helps extend your stay beyond 90 days if you're from Europe, Australia, UK, etc (ESTA)? They keep saying 90 days is sufficient but I did the math: 3 days to settle in WPB, then surgery, then 7 days to start lengthening, then 80 days of lengthening for 8cm. Bang on 90 days. So even if you get one complication you will overstay. MyEvolution is an example of someone who's stay had to be extended by 50 days but he is Canadian which gives me 180 days of stay in the first place. I'm dying to know the answer to this question.
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anyone knows if paley helps extend your stay beyond 90 days if you're from Europe, Australia, UK, etc (ESTA)? They keep saying 90 days is sufficient but I did the math: 3 days to settle in WPB, then surgery, then 7 days to start lengthening, then 80 days of lengthening for 8cm. Bang on 90 days. So even if you get one complication you will overstay. MyEvolution is an example of someone who's stay had to be extended by 50 days but he is Canadian which gives me 180 days of stay in the first place. I'm dying to know the answer to this question.
They have a large number of international patients, so I expect they must. If you are a perspective patient, I would reach out to Angelique Keller who can probably advise you based on your situation.
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@past Paley patients, what kind of medical note did you get from Paley? Can anyone please summarize what it says? Does it say "limb lengthening"?
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Doctor Paley should be number one choice for those who can afford him. Because I can afford Stryde but not with him and have to stay at least in Asia I was asking his opinion on some doctors and he told me that they are really good, but still recommended I go to his facility because it is the best in the world. I got a very informational packet from him but my parents refused to accept I get this done anywhere outside Asia as my mom wants to be with me but is afraid of flying.
People who can go to Paley are very fortunate.
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For prices this high, are there payment plans available or is it all just out-of-pocket cost?
Very curious and very new to researching a lot of this, any and all advice/help is appreciated. Thanks.
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There’s not directly, most people apply for a private loan or get an equity mortgage on their house but I think mahboubian accepts care credit which is very easy for slightly older people with good credit
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Does Paley do Care Credit?
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have you found out what happens when you need to stay longer than 90 days?
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Does Paley do Care Credit?
I asked a year ago and he doesn’t, dr mahboubian does tho and he’s had really good results
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What bout for international patients? The credit?
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If you go to the 37:52 time stamp on Cyborg 4 Life’s new Limb Lengthening Live stream you can hear Dr. Craig Robbins from The Paley Orthopedic & Spine Institute talk about external fixators and how they are amazing and how he loves using them. The most interesting part is how he insists the institute uses the fixators all the time for deformity and stature lengthening. He even goes on to say he would not object to a stature lengthening patient requesting to use external fixators for cosmetic purposes! Did I miss something? If not then Paley’s institute performs external cosmetic limb lengthening! I would love to know how much this costs considering it is an external fixator as opposed to an internal nail. If the price is reasonable I might just go with Paley instead of Dr. Parihar!
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I realized I didn’t leave a link for the live stream…
https://youtu.be/EXctAbwCrNk
here it is!
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Was there a rumor floating around that he didn't?
Anyway, look at the price difference between Parihar and Paley for internals for your answer about the cost. :'(
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https://limblengthening.org/lengthening-strategies/
I was looking for Paley's options involving doing both femur and tibia:
OPTION 3
(up to 5cm for each)
lengthening three weeks apart
(up to total 10cm; 4in.)
$191,500 USD
OPTION 4
Femur Lengthening (up to 8cm), followed by Tibial Lengthening (up to 5cm) one year later
OPTION 5
(up to 4cm for each)
lengthening three weeks apart
(up to total 8cm) followed one or more years later by re-breaking femur and tibia with same nail in place and repeating up to 4cm femur and up to 4cm tibia lengthening one or more years later (up to 16cm; 6.3in. total)
If you are doing tibia followed by femur with only like 3 weeks-1 month in between, is it a bad idea to go above 5cm on each segment? I was hoping to do that with Giotikas in Athens, Greece but am having second thoughts if Paley's website suggests this is a bad idea. Based on Paley's plan above where he limits lengthening to 5 cm if you do back to back, it seems like Paley thinks my idea would be a bad idea. Is (with Giotikas) 4 cm on tibia, wait a month, then 7 cm on femur, then possibly rebreak the tibia 1-5 years later to get to do 2 more cm to get to 6 cm tibia a bad idea? Are there better options?
The X factor in all of this is if I take too long, my Mom will get pretty pissed and won't support applying to professional schools after so I'm weighing my options. Doing an option like femur then wait a year then tibia would take a while
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There's Paley European Institute in Warsaw.
They have great polish orthopedics who do also many LL procedures https://increaseheight.eu/en/objective-and-mission/
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it is: https://increaseheight.eu/en/
that's their side for Cosmetic statures.
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they are also great surgeons who learned the all techniques from dr Paley, and also have many successful procedures of LL.
Costs in Paley European Institute doe by dr Michał Deszczynski or dr Tomasz Albrewczynski are:
Bilateral Tibia Precice Lenthening 64 500,00 USD
Bilateral Femur Precice Lenthening 54 450,00 USD
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they are also great surgeons who learned the all techniques from dr Paley, and also have many successful procedures of LL.
Costs in Paley European Institute doe by dr Michał Deszczynski or dr Tomasz Albrewczynski are:
Bilateral Tibia Precice Lenthening 64 500,00 USD
Bilateral Femur Precice Lenthening 54 450,00 USD
Hi Karolina,
and what is the price for quadrilateral lengthening? I wrote an email about a week ago and didn´t receive any answer so far ..
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Q. How much does lengthening cost?
A. Answer was the same as what Stadiometer has already posted so nothing new. $70,000 for both femurs and $80,000 for both tibias if you lengthen at home
～～～～～～～
Is the surgery cost $70000? Besides,any other cost? How much Physiotherapy and how much to rent the house because I’m Chinese and I must to find a house.
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The femur surgery cost $70000? Besides,how much the physiotherapy? And how much to rent the house?